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General NPI Number Information
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NPI Number | 1821988593
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Entity Type | Individual
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Provider Name | ELLA CORINNE REEVES
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Gender | Female
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Dates
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Enumeration Date | 07/05/2025
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 13500 MIDWAY RD STE 300
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City | FARMERS BRANCH
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State | TX
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Zip | 75244-5136
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Country | US
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Telephone | 877-418-2978
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Fax | 866-500-2186
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Provider Business Mailing Address
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Address Line | 8103 CASTLE PEAKE TRL
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City | AUSTIN
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State | TX
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Zip | 78726-4043
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Country | US
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Telephone | 737-999-1017
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TX
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